SIDNI GABRIELLE JOHNSTON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004602

License Status

INACTIVE

Business

First Name

SIDNI

Middle

GABRIELLE

Last Name

JOHNSTON

Business Name

SIDNI GABRIELLE JOHNSTON

Original Issue Date

08/16/2016

Effective Date

12/29/2021

Expiration Date

12/31/2023

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/30/2023